Noscab 5% w/w (Cream)

25 gm tube: ৳ 35.00

Medicine Details

Category Details
Generic Permethrin
Company Beximco pharmaceuticals ltd

Indications

  • Treatment of scabies
  • Treatment of crab lice infestations
  • Suitable for family-wide treatment

Pharmacology

  • Contains Permethrin, a pyrethroid
  • Acts on the nerve cell membrane
  • Disrupts the sodium channel current
  • Leads to delayed repolarization and paralysis of pests
  • Limited systemic exposure or kinetics through topical administration
  • Presystemic metabolism in skin
  • Less than 0.5% absorption in the first 48 hours
  • Rapid metabolism by ester hydrolysis
  • Excreted primarily in urine

Dosage

  • Full tube for adults and children over 12 years
  • Up to 1⁄2 of a tube for children aged 6-12 years
  • Up to 1⁄4 of a tube for children aged 1-5 years
  • Up to 1⁄8 of a tube for children aged 2 months to 1 year
  • Dose not established for children less than 2 months

Administration

  • Apply to clean, cool, and dry skin
  • Avoid hot shower or bath before application
  • Apply to whole body from neck down for adults and children over 2 years
  • Include all skin surfaces, such as between fingers and toes, under nails, and soles of feet
  • Apply to face, neck, ears, and scalp for babies under 2 years, avoiding eye and mouth areas
  • Leave cream on for at least 8 hours before washing off
  • Reapply to washed areas during treatment time
  • Reapply after 7 days if necessary as per doctor's advice

Interaction

  • Withhold corticosteroid treatment for eczematous reactions prior to Noscab use to avoid exacerbating scabies infestation

Contraindications

  • Contraindicated in patients with known hypersensitivity to pyrethroids or permethrin components
  • Nursing staff may wear gloves to avoid potential hand irritation

Side Effects

  • Skin discomfort (burning, stinging, tingling)
  • Transient signs of irritation (erythema, edema, eczema, rash, pruritus)

Pregnancy & Lactation

  • Use in pregnancy should follow medical advice
  • Not recommended for nursing mothers due to unknown excretion in human milk

Precautions & Warnings

  • May temporarily exacerbate pruritus, edema, and erythema associated with scabies infestation
  • Avoid contact with eyes during application
  • Flush with water immediately if cream gets in the eyes

Therapeutic Class

  • Parasiticidal preparations

Storage Conditions

  • Store in a cool, dry place
  • Keep away from light
  • Keep out of the reach of children

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